Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment

Detalhes bibliográficos
Autor(a) principal: Prado,Marcelo Pires
Data de Publicação: 2013
Outros Autores: Fernandes,Tulio Diniz, Camanho,Gilberto Luis, Mendes,Alberto Abussamra Moreira, Amodio,Daniel Tassetto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307
Resumo: OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability.
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spelling Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatmentAnkle jointLigamentsWounds and injuriesControlled clinical trial OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability. Sociedade Brasileira de Ortopedia e Traumatologia2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307Revista Brasileira de Ortopedia v.48 n.4 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2012.11.001info:eu-repo/semantics/openAccessPrado,Marcelo PiresFernandes,Tulio DinizCamanho,Gilberto LuisMendes,Alberto Abussamra MoreiraAmodio,Daniel Tassettoeng2014-02-25T00:00:00Zoai:scielo:S0102-36162013000400307Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-25T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
spellingShingle Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
Prado,Marcelo Pires
Ankle joint
Ligaments
Wounds and injuries
Controlled clinical trial
title_short Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_full Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_fullStr Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_full_unstemmed Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
title_sort Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
author Prado,Marcelo Pires
author_facet Prado,Marcelo Pires
Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
author_role author
author2 Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Prado,Marcelo Pires
Fernandes,Tulio Diniz
Camanho,Gilberto Luis
Mendes,Alberto Abussamra Moreira
Amodio,Daniel Tassetto
dc.subject.por.fl_str_mv Ankle joint
Ligaments
Wounds and injuries
Controlled clinical trial
topic Ankle joint
Ligaments
Wounds and injuries
Controlled clinical trial
description OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability.
publishDate 2013
dc.date.none.fl_str_mv 2013-08-01
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rbo.2012.11.001
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.48 n.4 2013
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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